| NPI | 1629132550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW70033687) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CU61645638) |
| 104100000X Social Worker | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2026-07-08 |